...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >How reliable is intraoperative cholangiography as a method for detecting common bile duct stones? : A prospective population-based study on 1171 patients.
【24h】

How reliable is intraoperative cholangiography as a method for detecting common bile duct stones? : A prospective population-based study on 1171 patients.

机译：术中胆道造影作为检测胆总管结石的方法有多可靠？ ：一项基于前瞻性人群研究的1171例患者。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: Although intraoperative cholangiography (IOC) is a widely used method for detecting common bile duct stones (CBDS), its accuracy has not been fully evaluated in large nonselected patient samples. The purpose of this study was to assess the sensitivity, specificity and predictive value of dynamic IOC regarding its ability to diagnose CBDS in a population-based setting, and to assess the morbidity associated with the investigation. METHODS: All patients operated on for gallstone disease between 2003 and 2005 in the county of Uppsala in Sweden, a county with a population of 302,000 in December 2004, were registered prospectively. The outcome of cholangiography was validated against the postoperative clinical course. RESULTS: 1171 patients were registered, and among these IOC was performed in 1117 patients (95%). Common bile duct stones were found in 134 patients (11%). One perforation of the common bile duct caused by the IOC catheter was recorded. Sensitivity was 97%, specificity 99%, negative predictive value 99%, positive predictive value 95%, and overall accuracy 99%. In 7 of the 134 cases where IOC indicated CBDS, no stones could be verified on exploration. In 4 of the 979 cases where IOC was normal, the clinical course indicated overlooked CBDS. CONCLUSION: Intraoperative cholangiography is a safe and accurate method for detecting common bile duct stones.
机译：背景：尽管术中胆管造影（IOC）是检测胆总管结石（CBDS）的一种广泛使用的方法，但其准确性尚未在未选择的大型患者样本中得到充分评估。这项研究的目的是评估动态IOC在基于人群的环境中诊断CBDS的能力的敏感性，特异性和预测价值，并评估与调查有关的发病率。方法：前瞻性地登记了瑞典乌普萨拉县（2003年至2004年12月人口302,000）中所有因胆结石疾病而手术的患者。胆道造影的结果已针对术后临床过程进行了验证。结果：登记了1171例患者，其中1117例（95％）进行了IOC。 134名患者中发现胆总管结石（11％）。记录由IOC导管引起的胆总管穿孔。敏感性为97％，特异性为99％，阴性预测值为99％，阳性预测值为95％，总体准确性为99％。在IOC指示CBDS的134例病例中，有7例在探查中无法证实结石。在IOC正常的979例病例中，有4例的临床过程表明忽略了CBDS。结论：术中胆道造影是一种安全，准确的胆总管结石检查方法。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号